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HomeMy WebLinkAboutCLE201600165 Application 2017-01-10Application for Zoning Clearance CLE # 2ZU�f p 1 toy C PLEASE REVIEW ALL 3 SHEETS OFFICE USE rLy Check # Date: Receipt # Staff.• PARCEL INFORMATION 1 (� ` Tax Map and Parcel: 0 1 9AO-00-00-031 00 Existing Zoning �iNPy��n.._ll Parcel Owner: Catholic Diocese of Richmond Parcel Address:1205 Pen Park Road City Charlottesville State VA Zip 22901 (include suite or floor) PRIMARY CONTACT Who should we call/write concerning this project? Ashley Nelson Address :1205 Pen Park Road City Charlottesville State VA Zip 22901 Office Phone: (434) 964-0400 Cell # 434-610-1767 Fax # 434-964-1373 E-mail a.nelson@cvillecatholic.org APPLICANT INFORMATION Check any that apply: Change of ownership Change of use Change of name New business Business Name/Type: Charlottesville Catholic School Previous Business on this siten/a Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of vehicles, and any additional information that you can provide: 5K race; 250 people from 7am-10am on 10/8/16• parking in school lot & property, approx. 75-100 cars; race begins at 8am; see attached map for details on route *This Clearance will only be valid on the parcel for which it is approved. If you change, intensify or move the use to a new location, a new Zoning Clearance will be required. 1 hereby certify that I own or have the owner's permission to use the space indicated on this application. I also certify that the information provided is true and ac ate to the best of my knowledge. I have read the conditions of approval, and I understand them, and that I will abide by them. Signature Printed AsWe_q ` J'eft&01\ APP,96VAL INF ATION [VApproved as proposed [ ] Approved with conditions [ ] Denied [ ] Backflow prevention device and/or current test data needed for this site. Contact ACSA, 977-4511, x117. [ ] No physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing site plan. [ ] This site complies with the site plan as of this date. Notes: Building Official Date Zoning Official JDate Other Official Date County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126 Revised 11/02/2015 Page 2 of 3 CERTIFICATION THAT NOTICE OF THE APPLICATION HAS BEEN PROVIDED TO THE LANDOWNER This form must accompany zoning applications (Home Occupation, Zoning Clearance, Zoning Administrator Determinations or Appeals, Sign Permits, Building Permits) if the application is not the owner. I certify that notice of the application, was provided to [County application name and number] [name(s) of the record owners of the parcel] and Parcel Number manner identified below: Hand delivering a copy of the application to the owner of record of Tax Map by delivering a copy of the application in the [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date Mailing a copy of the application to [Name of the record owner if the record owner is a person; if the owner of record is an entity, identify the recipient of the record and the recipient's title or office for that entity] on Date to the following address: [address; written notice mailed to the owner at the last known address of the owner as shown on the current real estate tax assessment books or current real estate tax assessment records satisfies this requirement]. Signature of Applicant Print Applicant Name Date 01 ► Charlottesville ifCatholic School 1'('11/ l Knowledge ("OnInI1111rly June 29, 2016 Rebecca Ragsdale County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 Dear Ms. Ragsdale, Attached is the Zoning Clearance Application for the Charlottesville Catholic School 15th Annual All Terrain 5K Run/Walk to be held on Saturday, October 8, 2016. Charlottesville Catholic School is a 501(c)(3) non-profit educational organization, all contributions to this event are tax deductible to the fullest extent of the law and any proceeds from the event benefit the school. Approximately 250 people of all ages participate in this event which begins and ends at CCS located at 1205 Pen Park Road. On -site registration is available beginning at 7:00 a.m. and the run kicks off at 8:00 a.m. On -site registration & water tables will be set-up on the school property only. The run route begins at the school parking lot, turning right on to the right-of-way of Pen Park Road and then another immediate right on to park property. A certified flag person will be stationed where the Charlottesville Catholic School driveway intersects with Pen Park Road. Runners then proceed to the cart path of Meadowcreek Golf Course. All runners are off the cart path in less than 30 minutes, or before 8:30 a.m. I have spoken to Rion Summers, the golf professional at Meadowcreek Golf Course, and received his permission for use of the course. From the cart path, runners move on to the Nature Trail that encircles part of the golf course, emerging onto the park parking lot road, past the tennis courts to Pen Park Road. A certified flag person will be positioned at the intersection of the parking lot road and Pen Park Road. Runners will cross Pen Park Road at this intersection and finish the race on the right-of-way of Pen Park Road back to the Charlottesville Catholic School driveway. The time for runners and walkers to complete the run circuit ranged from 20 to 54 minutes last year. The post run activities are finished by 10:00 a.m. Please see the map included in the permit application. 1205 Pen Park Road I Charlottesville, Virginia 22901 434.964.0400 1 (fax) 434.964.1373 1 cvillecatholic.org I info.ccs@cvillecatholic.org OluO Charlottesville ifCatholic School 1 (11/h Julwt ledge C,oinvinrnity The run route is marked with flags and traffic cones are that are provided from VDOT and the Charlottesville Track Club are placed along Pen Park Road right-of-way. Volunteers are used extensively and placed along the run route to direct runners, provide water and to clean-up any articles and garbage left along the event routes. The volunteers are divided into groups by task assignment. Each group is managed by a volunteer coordinator. All coordinators and volunteers are given verbal and written instructions. Most of our volunteers have worked the event in past years and are well seasoned. I appreciate your prompt review of this application. If I need to provide anything else or you have questions please contact me at 434-964-0400, ext. 301 or by e-mail at a.nelson@cvillecatholic.org. Sincerely, Ashley Nelson Co -Race Director Marketing & Events Coordinator Charlottesville Catholic School Phone: 434-964-0400, ext 301 E-mail: a.nelson@cvillecatholic.org 1205 Pen Park Road I Charlottesville, Virginia 22901 434.964.0400 1 (fax) 434.964.1373 1 cvillecatholic.org I info.ccs@cvillecathotic.org Virginia trnEntDOTf raSporiatipn LAND USE PERMIT LUP-A Land Use Permit Application March 10, 2016 APPLICATION is hereby made for permit as shown on the accompanying plan or sketch and as described below. Said activity(s) will be done under and in accordance with the rules and regulations of the Commonwealth Transportation Board of Virginia, in so far as said rules are applicable thereto and any agreement between the parties herein before referred to. Where applicable agreements may be attached and made a part of the permit assembly including any cost responsibilities covering work under permit. Applicant agrees to maintain work in a manner as approved upon its completion. Applicant also hereby agrees and is bound and held responsible to the owner for any and all damages to any other installations already in place as a result of work covered by resul Ling permit. Applicants to whom permits are issued shall at all times indemnify and save harmless the Commonwealth Transportation Board members of the Board, the Commonwealth and all Commonwealth employees, agents, and offices, from responsibility, damage, or liability arising from the exercise of the privileges granted in such permit to the extent allowed by law. In consideration of the issuance of a permit the applicant agrees to waive for itself, successors in interest or assigns any entitlements it may otherwise have or have hereafter under the Uniform Relocabon and Assistant Act of 1972 as amended in event the Department or its successor, chooses to exercise its acknowledged right to demand or cause the removal of any or all fixtures, personality of whatever kind or description that may hereafter be located, should this application be approved. Type or print clearly Applicant Driver's license or Tax ID No. 54-1809350 Owner Name Charlottesville Catholic School Address 1205 Pen Park Road City Charlottesville State VA Zip Code 22901 Agent Driver's license or Tax ID No. n/a Agent Name n/a Address n/a City n/a State n/a Zip Code n/a Permit Term Requested n/a Money Order n/a Surety Information: Contact Name E-mail Address a.nelson@cvillecatholic.org Telephone Number( 434 ) 964 0400 Emergency Telephone Number ( 434 ) 610 Fax Number( 434 ) 964 1373 Contact Name n/a E-mail Address n/a Telephone Number ( n/a ) Emergency Telephone Number ( n/a ) Fax Number( n/a ) Fees Enclosed $ n/a Check Number n/a Coupon Number(s) n/a Other n/a Estimated cost of work to be performed on VDOT Right of Way $ n/a Surety Posted by: Owner [ Amount of Surety $ n/a Surety Company Name n/a ] Agent [ ] 1767 Surety Refund to: Owner [ ] Agent [ ] Surety Waived [ ) Obligation Amount $ non-profit Check # n/a Bond # n/a Applicant shall provide proof of registration as an operator with the appropriate notification center in accordance as defined in §2.2-1151.1 of the Code of Virginia & must provide a notarized affidavit, stating that the utility owner has notified the commercial and residential developer, owner of commercial or multifamily real estate, or local government entities with a property interest in any parcel of land located adjacent to the property over which the land use is being requested, that application for the permit has been made. Reouest permission to perform the following activitv(s): Annual 5K Run to be held on Saturday, October 8th, 2016 at 8:00am Location: [ ] County Latitude Between Route No. 631 ] Town [ ] City of Albemarle Longitude Street Name Rio Road Route No. 768 Street Name Pen Park Road Tax Map Number Applicant Job No._ and Route No. Dead End Street Name Dead End per attached plans. [ ] IF APPLICABLE, I AGREE TO PAY THE FULL SALARY AND EXPENSES OF A STATE ASSIGNED INSPECTOR IN CONJUNCTION WITH ACTIVITIES AUTHORIZED UNDER THE AUSPICES OF A VDOT LAND USE PERMIT Signature of Applicant: Signature of Agent: _ Title Marketing & Events Coordinator Date 6/28/16 Title Date All applicable items on this form must be completed to avoid delay in processing the issuance of a VDOT Land Use Permit. Prepayment required with remittance payable to Virginia Department of Transportation. VDOT USE ONLY Receipt is hereby acknowledged for: CHECK No.: In the Amount of $ for PERMIT FEE $ Authorized VDOT Signature: MONEY ORDER No.: CASH SURETY $ Date: LAND USE PERMIT LUP-SPG Special Provisions — General March 10, 2016 Permittee Agreement for Land Use Permit Issuance I the undersigned hereby acknowledge that I am fully cognizant of all of the following requirements associated with the issuance of a VDOT Land Use Permit: Type or Print clearly Applicant Name: Charlottesville Catholic School/Ashley Nelson Applicant Federal Tax ID No. / Driver's License No.: 54 1809350 Applicant / Property Owner Signature: Agent / Contractor Signature: Project Name: Charlottesville Catholic School 15th Annual 5K Run District: County: Albemarle Route Number: VDOT Land Use Permit Required by Law The General Rules and Regulations of the Commonwealth Transportation Board provide that no work of any nature shall be performed on any real property under the ownership, control, or jurisdiction of VDOT until written permission has been obtained from VDOT. Written permission is granted for the above -referenced activity through the issuance of a land use permit. By issuing a permit, VDOT is giving permission only for whatever rights it has in the right-of-way; the permittee is responsible for obtaining permission from others who may also have an interest in the property. The permittee will be civilly liable to the Commonwealth for expenses and damages incurred by VDOT as a result of violation of any of the rules and regulations of this chapter. Violators shall be guilty of a misdemeanor and, upon conviction, shall be punished as provided for in §33.2-210 of the Code of Virginia. Apolication Requirements Application shall be made for VDOT land use permits through the local district permit office where the activity is to take place. Application forms and general information regarding VDOT land use permitting can be obtained by contacting the central office permit manager or at the following VDOT web site: http://www.virginiadot.org/business/bu- IandUsePermits.asp The applicant shall provide a notarized affidavit indicating compliance with the registration and notification requirements outlined in § 2.2-1151.1 of the Code of Virginia.